| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.38 | $225.76 | $225.76 | |
Cigna
| Facility | $50.91 | $68.45 | $103.75 | |
Cigna
| Professional | $11.57 | $50.59 | $50.91 | |
Providence
| Facility | $50.91 | $68.45 | $103.75 | |
Providence
| Professional | $31.60 | $31.60 | $50.91 | |
United
| Professional | $9.61 | $14.75 | $35.11 |